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Christian Schreiber
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Right arrow Congenital - cyanotic

Ann Thorac Surg 2006;81:341-343
© 2006 The Society of Thoracic Surgeons

Case report

Hypoplastic Left Heart Syndrome With Anomalous Origin of the Right Coronary Artery

Julie Cleuziou, MD a , * , Felix Haas, MD c , Christian Schreiber, MD a , Hans-Jörg Mössinger, MD b , Rüdiger Lange, MD a

a Department of Cardiovascular Surgery, German Heart Center Munich at the Technical University, Munich, Germany
b Department of Anesthesia, German Heart Center Munich at the Technical University, Munich, Germany
c Department of Pediatric Cardiothoracic Surgery, Wilhelmina Children's Hospital, UMC Utrecht, the Netherlands

Accepted for publication September 24, 2004.

* Address correspondence to Dr Cleuziou, Department of Cardiovascular Surgery, German Heart Center Munich, Lazarettstrasse 36, D-80636 Munich, Germany (Email: cleuziou{at}dhm.mhn.de).

Hypoplastic left heart syndrome in association with an anomalous origin of a coronary artery from the pulmonary artery is a very rare congenital malformation. In the few reported cases, the left coronary artery or the circumflex artery arises from the right pulmonary artery. We describe a newborn who presented with hypoplastic left heart syndrome, and at the time of operation had an anomalous origin of the right coronary artery from the right pulmonary artery that was detected. The patient underwent a successful modified Norwood procedure with direct reimplantation of the right coronary artery to the neo-aorta.






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